Group Communication

  Scenario - Your hospital has recently revised its CQI vision and aims based on the work done on the Quality Chasm series. As nurse manager in an ED (Emergency department) you need to take this information and make it “real” for staff in the ED. You and the medical director will present this information to the staff, but you need to figure out how it applies to daily work and how to engage staff. You both agree that the staff will not appreciate the “words” on the paper unless you can attach their meaning to their daily work. Instructions: Read the scenario above and answer the following questions: What information would you use as your base to discuss the vision and the aims? How would you then apply this information to the ED and daily work done by staff? Would benchmarked data be of any use in this scenario to the committee? Your post should:    

Sample Solution

     

Information to use as a base to discuss the vision and the aims

When discussing the new CQI vision and aims with ED staff, it is important to start by explaining what they are and why they are important. The vision should be a clear and concise statement of what the hospital hopes to achieve through CQI. The aims should be specific, measurable, achievable, relevant, and time-bound.

Once the vision and aims have been explained, it is important to discuss how they apply to the ED and to the daily work done by staff. For example, if one of the aims is to reduce patient length of stay, ED staff could discuss specific strategies that they could implement to achieve this goal, such as developing fast-track pathways for common complaints or implementing bundled care for common procedures.

Full Answer Section

      Applying the information to the ED and daily work done by staff Here are some specific examples of how the new CQI vision and aims could be applied to the ED and daily work done by staff:
  • Vision: To provide high-quality, safe, and efficient emergency care to all patients.
  • Aim: To reduce patient length of stay by 10% within one year.
Strategies:
  • Develop fast-track pathways for common complaints, such as urinary tract infections and minor lacerations.
  • Implement bundled care for common procedures, such as pneumonia and appendicitis.
  • Increase the use of telemedicine to provide care to patients who do not require in-person evaluation.
  • Improve communication and coordination between ED staff and other hospital departments, such as inpatient units and radiology.
  • Vision: To create a positive and supportive work environment for all ED staff.
  • Aim: To reduce employee turnover by 5% within one year.
Strategies:
  • Provide regular feedback and recognition to ED staff.
  • Offer opportunities for professional development and training.
  • Create a culture of safety and respect in the ED.
  • Implement programs to support employee health and well-being.
Usefulness of benchmarked data Benchmarked data can be very useful in tracking progress over time and identifying areas for improvement. For example, ED staff could track their average patient length of stay and compare it to other EDs of similar size and complexity. This would allow them to identify areas where they are excelling and areas where they need to improve. Benchmarked data can also be used to set realistic goals. For example, if ED staff know that the average patient length of stay at other similar EDs is 48 hours, they can set a goal to reduce their own average length of stay to 48 hours or less. Engaging staff It is important to engage staff in the CQI process. This can be done by:
  • Educating staff about the new CQI vision and aims. Staff need to understand why CQI is important and how it will benefit them and their patients.
  • Involving staff in the development and implementation of CQI initiatives. Staff are more likely to support CQI initiatives if they have a say in how they are designed and implemented.
  • Providing staff with regular feedback on their progress. Staff need to know how they are doing in order to stay motivated.
  • Celebrating successes. It is important to recognize and celebrate the successes of staff who are working to improve the quality of care in the ED.
Conclusion By following the steps above, ED staff can make the new CQI vision and aims real for themselves and their patients. By applying the vision and aims to their daily work and by using benchmarked data to track progress, ED staff can create a positive and supportive work environment and provide high-quality, safe, and efficient emergency care to all patients.  

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